Maternity and Women's Health Ch. 26 ,2023 with 100% correct questions and answers

A 40-year-old woman with a body mass index over 30 is 10 weeks pregnant. Which diagnostic tool is appropriate to suggest to her at this time? Transvaginal ultrasound Which clinical significance does a maternal blood Coombs test with a titer of 1:8 and increasing indicate? Significant Rh incompatibility The nurse is caring for a pregnant client at 19 weeks of gestation. On reviewing the ultrasound reports, the nurse notes that the fetus has a ventricular septal defect (VSD). The nurse knows which type of ultrasound helps detect VSD? Specialized or targeted examination Which is the most commonly used antenatal testing for a client at 39 weeks gestation who requires fetal assessment for decreased fetal movement? Nonstress test The nurse is caring for a pregnant client who is scheduled for cordocentesis. Which could be a complication of the test? Fetomaternal hemorrhage During a prenatal check-up a client who is 7 months pregnant reports that she is able to feel about two kicks in an hour. The nurse refers the client for an ultrasound, and which is the primary reason for this referral? To check for fetal well-being Which testing would be available for a client at 11 weeks of gestation who requests a fetal genetic assessment? Chorionic villus sampling Which nursing explanation is appropriate to include when preparing a client for a nonstress test? "You can recline a bit with a slight tilt to the side." Which risk is a fetus subject to if chorionic villus sampling (CVS) is conducted in the 7th week of gestation? Limb reduction defects On reviewing the medical history of a pregnant client, the nurse finds that the client is taking carbamazepine. What consequence of the drug on the fetus should the nurse be aware of? Spina bifida Which would be the best timeframe to establish gestational age based on ultrasonography? Between 14 and 22 weeks of gestation The nurse is reviewing the amniocentesis reports of a client at 20 weeks gestation and notes the presence of high alpha-fetoprotein (AFP) levels. Which should the nurse infer from this information related to the clinical condition of the fetus? Neurologic disorder. Which factor is appropriate to identify when providing client instructions about daily monitoring of fetal kick counts? Obesity Which is the normal range of amniotic fluid index? 10 to 25 cm Which describes the nurse's understanding of the fetal risk for intrauterine growth restriction (IUGR)? Stillbirth The nurse is teaching a pregnant client regarding the monitoring of daily fetal movement. Which finding should be reported to the primary health care provider? Fetal movement was not detected for 12 hours. Which describes the uses for ultrasonography in the third trimester of pregnancy? Select all that apply. One, some, or all responses may be correct. Detects congenital anomalies A client is undergoing percutaneous umbilical blood sampling (PUBS). What is the best intervention for the nurse to perform after conducting the test? Monitor the fetal heart rate (FHR). After a woman with blood type Rh negative undergoes amniocentesis, what is the most appropriate nursing intervention? Administer RhoD immunoglobulin. A nurse providing care for the antepartum woman should understand what about the contraction stress test (CST)? Is considered negative if no late decelerations are observed with the contractions The nurse is reviewing lab values to determine Rh incompatibility between mother and fetus. Which specific lab result should the nurse assess? Indirect Coombs t While performing a contraction stress test in a pregnant client, the nurse finds that the client has three uterine contractions in a 10-minute period with no significant variable decelerations. The nurse communicates the test findings to the primary health care provider, and which instruction would the nurse expect to receive? "Resume a routine weekly testing schedule for the client."